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1417 W CASINO RD 2016-01-01 MF Import
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1417 W CASINO RD 2016-01-01 MF Import
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Last modified
1/25/2017 4:46:42 AM
Creation date
1/25/2017 4:46:33 AM
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Template:
Address Document
Street Name
W CASINO RD
Street Number
1417
Imported From Microfiche
Yes
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/ " `� <br /> W. D. icrm�. <br /> CITY OF EVERETT-WATER DEPr'.RTMENT <br /> APPLICATION FOR WATER <br /> All blanks must be filled in .r crossed a�.il / <br /> � ^ / ( <br /> Evcrelt, ..��-_[.p_l�,� /_. _ _ .. .._. ._.]U`�-..,. <br /> 7'G THE FUI't:ItIN7'E4DENT O ' TIiE WATER DEPARTTfENT: <br /> CIT� OF EVERETT: <br /> I hereby apply (m� the um ot water in nccordanee a�ith the rules nnd rrFu- <br /> la�ions .�( the R'nter Department, fnr pw�poses and fixtures stated f rlow. <br /> D��ring thc timc that nny ot thc wntrr mains mny bc lnken up Uy rrnson <br /> ot ar.y improvmtcnts nuthorizcd bt� lhc City of Evcrell, in or of anl' strcrt or <br /> nllc;�in whirh thcy may havc bccn laid, thc City will not bc rrquirad lo lurnish <br /> tvakr dw'in�, th�� prngress of such improvemm�ts to any rnnsumrr wham sup- <br /> ply mnp thus bc cut o(/t or bc liablr for any dnmages fnr its (ailure so lo do. <br /> Applirntion No./`.. `�!'.� ._ . <br /> . ... . ...._____. <br /> IIlock ... ._. ..,..,. nl . . �1dd... _ .. ._.. .. _. . . .. <br /> /�/ i �!' j� <br /> Na ! ?.� I ._�. . .L".'��_� �J' c... r ! ..�...._ . Slrecl <br /> .._.. .. ..........__. .........___.. ..__.. ..._........... ......... . .__.__.... .__.._........ ._. <br /> The wnrk to Ue executed by. ...._._. . . ._..___ . . ._. . Plumber <br /> � Slntc sizr o[ lnp. <br /> / <br /> '. . ...Wnlrr�dosetscrted in lhe ma�. n . <�/'.k . 1� <br /> ` l <br /> � __.Hnth � � � . � �� P%r 4 <br /> _� i� �-�� <br /> __Urinal ^ �-[. "' / �. / ; �i� <br /> i11 I <br /> /i� �'/!nTr' +.�e 1� � �'�'' <br /> -.Plnin tnucet insidc - <br /> _.Side wnik washcr ! ���.. � �,•..� / .. _ ��,� <br /> . . ._.Hase bib nulsidc ' " <br /> 'f / .. . <br /> ._.Hosc bib tor buildinF Pw�poses '_ '_ .. . . <br /> . . . I lnsc bib insidc ��� .� .._ <br /> . . _Ilib [nr stnblc conlnining_ ._....._.. ..:.tnll.. . __.... .....�.1 <br /> . Numbcr of perrnns in family �ti, �. ,. .,(�e.r 1 • . ^ , . � <br /> � �. . <br /> . Numbrr ot rooms in huilding 'e � , .. ,,,, �,, ,:, . . . <br /> '1'h � premises nrr lo he used ns n_._._ _. . . � . fr , �� �;� � <br /> ......... __.. <br /> "1'hi� ua•ncr oi (hr prrmisrs is .... . _ .. . . . . .. .. .. <br /> Thc aFenl is.._. . . . _ . . . . . . . . . <br /> 'I'hi, npplirnlinn. :�ithouph signrd. :hail not bo Uindinl: upon the CiI.Y. ��ntil <br /> urrrptcd by the Sup��r�tirPdrpt nf� Wa4'r Depart�nent. <br /> - � <br /> SiCneJ.�//` C�r . .. �' .'f/�..t�-. �. - ._ .Applicaiit <br /> .�.., �pird I�. Ry . . <br /> ' Supriintoudont. <br />
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